Organization
INNOVA MEDICAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSE GABRIEL ARCE-DIAZ MD (DOCTOR/PRESIDENT)
(939) 323-6472
Entity
Organization
Contact information
Practice address
CARR 125 KM 18.1 BO. BAHOMAMEY, SAN SEBASTIAN, PR 00685
(939) 323-6472
Mailing address
41 URB VICTORIA CALLE TULIPAN, AGUADILLA, PR 00603
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
01/26/2024
Last updated
01/26/2024
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